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Ell 00 14 (REV 5/940 SAN JOAQUIN COUNTY • 7�71ae77 <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL IIEALTII DIVISION <br /> n �A n/ PU�jB�LIC_ RECORDS RELEASE APPLICATION n C, / <br /> APPLICANT � Dc�1,�� .c — PHONE NO�� 0 --7-1D to <br /> ADDRESS <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> C4— <br /> FILE <br /> FILE ADD <br /> RESS LEAD AGENCY DATE <br /> � L��T f-�-� S (. ti LLQ ��61,CctQ�-- � �jto ✓-CrdY�a� rf�-�Q�C <br /> / y, it <br /> -_� —tf-- C' ; ex <br /> s lL <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD)POLICY#94-009, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW Is By APPOINTMENT ONLY. APPOINTMENTS ARE ARRANGED BY <br /> CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARB SCHEDULED MONDAY TNRU FRIDAY <br /> EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 PM TO 4:30 PM. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE CORRECTED <br /> BY TIIE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL SERVICE WILL BE BILLED TO THE <br /> APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-007) <br /> 5. ORIGINAL PUBLIC FILES/ C DS 911ALL NOT BER OVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICA BATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> NO PHS/EHD RECORDS/FILES ARE IDENTIFIED: <br /> bAme Rm m Nmm� DAm <br /> PHS/EHD RECORDS/FILES EXIST ON THB ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WHEN <br /> RECORDS/FILES ARE AVAILABLE FOR REVIEW: . <br /> DAM RMaA'90 n: NMMMMo DAMT <br />